%0 Journal Article
%T Citolog¨ªa endometrial en pacientes posmenop¨¢usicas con terapia hormonal
%A Chac¨ªn Pe£¿a
%A Belkys
%J Revista de Obstetricia y Ginecolog¨ªa de Venezuela
%D 2008
%I Sociedad de Obstetricia y Ginecolog¨ªa de Venezuela
%X objective: to demonstrate the efficacy of endometrial cytology with the uterobrush£¿ sampler and compare it with endometrial biopsy, in postmenopausal women under hormonal replacement therapy. method: prospective study with 30 patients during a lapse of six months, fifteen of them refered abnormal uterine bleeding and the other fifteen did not. endometrial cytology sampling was done with uterobrush£¿ and biopsy with novak¡äs currette to all patients. difficulty, pain, bleeding, cervical characteristics, celularity and adequacy of the sampling where assessed, cytology was compared with biopsy diagnosis. setting: gynecology service of the university hospital of los andes, results: 73.3 % of the patients did not refer pain. no bleeding was present after the introduction of uterobrush £¿ in 53.3 %. the samples were adequate in 70 % of cases. principal cause of limitation was poor fixation of cells. when comparing cytologic diagnosis with biopsy we found a sensitivity of 71 % and 75 % specificity. conclusions: the endometrial cytology with uterobrush£¿ is a procedure easy to use, economic, and well tolerated by the patients; being useful to evaluate the endometrium in post menopausal women, but not pretending to overtake endometrial biopsy.
%K endometrial cytology
%K endometrial biopsy
%K postmenopause.
%U http://www.scielo.org.ve/scielo.php?script=sci_abstract&pid=S0048-77322008000200002&lng=en&nrm=iso&tlng=en